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1369 results found

Issues with standard practice: Luer lock syringes in cataract surgery

For a few years, we have worked together with the practice variance surveys to tease out differences in the way we work and to discuss issues that arise. I hope that we have learnt some lessons and reflected on what...

Arterial stiffness and PEX

The authors describe a study of 25 newly diagnosed patients with pseudoexfoliation glaucoma (PEX) and 25 controls to evaluate carotid femoral pulse wave velocity (CF-PWV) values. The CF-PWV was assessed using a noninvasive device by measuring the pulse transmit time...

Treatment of IIIcnp

The authors report the surgical treatment of a 15-year old with congenital III nerve palsy. The child had a deviation of 50PD exotropia and a -6 limitation of adduction, -3 limitation of elevation and -4 limitation of depression. Surgery consisted...

Dog bite lid lacerations

The characteristics of dog bite induced lid trauma are described in a large cohort of paediatric patients and the success rate of early repair of lacerations involving the lacrimal system. This is a retrospective review of 438 patients: 73 with...

An unusual case of partial oculomotor nerve palsy

The authors present an unusual case of intra-axial oculomotor nerve involvement due to midbrain infarction. The 65-year-old male patient presented with unilateral complete blepharoptosis and slight limitation of upgaze. Neurological examination revealed a complete ptosis of the left eyelid, slight...

Syndromic V-pattern management

The authors document their experience in the management of four cases of Crouzon syndrome and review the anatomical extraocular muscle anomalies noted during surgery. Horizontal strabismus surgery varied in each of the four cases according to individual extraocular muscle abnormalities...

Structural effects of migraine on the retina

Migraine is a common, chronic, multifactorial neuro-vascular disorder typically characterised by recurrent attacks of disabling headache and autonomic nervous system dysfunction (migraine without aura). Up to one third of patients also have neurological aura symptoms (migraine with aura). The objective...

Wide variation in the volume of the sphenoid trigone

This is a radiological study of the volume of the sphenoid trigone in normal subjects. The authors were interested to see how much volume could be gained by removal of the trigone during an orbital decompression for thyroid eye disease....

Infantile exotropia and developmental delay

This is a retrospective review of infants requiring surgery for infantile exotropia before the age of one year to report the surgical outcomes and frequency of associated developmental problems. The study reviewed 26 patients first assessed at two to 10...

En coup de sabre scar and strabismus

This is a case report of an eight-year-old child with gradual progressive strabismus (esotropia and hypotropia) from the age of five years. The angle measured >45 degrees esotropia and 10 degrees hypotropia. There was a depressed linear-localised scar over the...

Rectus muscle insertion shift at surgery

The authors conducted this study to evaluate the shift in rectus muscle insertion when the muscle is disinserted from the globe but before it is recessed and / or transposed. They measured the amount of central rectus muscle insertion shift...

Surgery to reduce chin-up abnormal head posture with nystagmus

The authors report the surgical results of six patients with chin up abnormal head posture (AHP) in infantile nystagmus syndrome (INS) where maximal inferior rectus weakening (recession) was undertaken along with superior rectus resection in four of the cases. This...